직접 후두경과 비디오 후두경의 숙련도 및 유용성 평가
Assessment of the proficiency and usability of direct laryngoscopy and video laryngoscopy
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was conducted to assess the proficiency of both direct laryngoscopy and video laryngoscopy and the usefulness of each laryngoscope, thereby provide basic data for further education using video laryngoscopy. Methods: Forty one paramedic subjects participated in this study. Usability was measured with the System usability scale. The Macintosh direct laryngoscope and C-MAC® video laryngoscope were two instruments evaluated in the study. Results: Training with video laryngoscopy showed significantly better results within the categories of dental injury (p=.004), esophageal intubation (p=.001), and proper depth placement of intubation tubes (p=.019). The results of the System usability scale questionnaire and the degrees of visibility based on the Cormack & Lehane classification were also found to be better achieved with the video laryngoscopy (p=.000). Conclusion: This study suggests enhancing education with video laryngoscopy, which could reduce the risk of complications and duration of intubation while increasing the success rate among students and emergency medical technicians with little experience, rather than the existing method of only using direct laryngoscope, which requires considerable experience and skills.
Abstract
Purpose: The aim of this study was conducted to assess the proficiency of both direct laryngoscopy and video laryngoscopy and the usefulness of each laryngoscope, thereby provide basic data for further education using video laryngoscopy. Methods: Forty one paramedic subjects participated in this study. Usability was measured with the System usability scale. The Macintosh direct laryngoscope and C-MAC® video laryngoscope were two instruments evaluated in the study. Results: Training with video laryngoscopy showed significantly better results within the categories of dental injury (p=.004), esophageal intubation (p=.001), and proper depth placement of intubation tubes (p=.019). The results of the System usability scale questionnaire and the degrees of visibility based on the Cormack & Lehane classification were also found to be better achieved with the video laryngoscopy (p=.000). Conclusion: This study suggests enhancing education with video laryngoscopy, which could reduce the risk of complications and duration of intubation while increasing the success rate among students and emergency medical technicians with little experience, rather than the existing method of only using direct laryngoscope, which requires considerable experience and skills.
참고문헌 (27)
- Jasmeet Soar, "European Resuscitation Council Guidelines for Resuscitation 2015", Resuscitation, 95, pp.100~147 (2015), Elsevier BV[DOI]
- Mark S. Link, "Part 7: Adult Advanced Cardiovascular Life Support", Circulation, 132(18 suppl 2), pp.S444~S464 (2015), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Tobias Piegeler, "Evaluation of six different airway devices regarding regurgitation and pulmonary aspiration during cardio-pulmonary resuscitation (CPR) – A human cadaver pilot study", Resuscitation, 102, pp.70~74 (2016), Elsevier BV[DOI]
- Jo Kramer-Johansen, "Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: A prospective interventional study", Resuscitation, 71(3), pp.283~292 (2006), Elsevier BV[DOI]
- Graham Nichol, "Trial of Continuous or Interrupted Chest Compressions during CPR", New England Journal of Medicine, 373(23), pp.2203~2214 (2015), Massachusetts Medical Society[DOI]
- Bentley J. Bobrow, "Minimally Interrupted Cardiac Resuscitation by Emergency Medical Services for Out-of-Hospital Cardiac Arrest", JAMA, 299(10), pp.1158~1165 (2008), American Medical Association (AMA)[DOI]
- Konrad C, "Learning manual skills in anesthesiology: Is there a recommended number of cases for anesthetic procedures", Anesth Analg, 86(3), pp.635~639 (1998)
- 노상균, "119구급대의 병원 전 응급처치 실태 및 교육 현황 분석", 한국산학기술학회논문지, 13(5), pp.2117~2124 (2012), 한국산학기술학회[DOI]
- C D Deakin, "Prehospital advanced airway management by ambulance technicians and paramedics: is clinical practice sufficient to maintain skills?", Emergency Medicine Journal, 26(12), pp.888~891 (2009), BMJ[DOI]
- K. Ruetzler, "Comparison of five video laryngoscopes and conventional direct laryngoscopy", Der Anaesthesist, 64(7), pp.513~519 (2015), Springer Science and Business Media LLC[DOI]
- Jean-Baptiste Paolini, "Article de synthèse: La vidéo-laryngoscopie: un autre outil pour les intubations difficiles ou un nouveau paradigme pour la prise en charge des voies aériennes?", Canadian Journal of Anesthesia, 2013, pp.60(2), 184~191[DOI]
- Donald E. G. Griesdale, "Étude pilote randomisée comparant la vidéo-laryngoscopie et la laryngoscopie directe chez les patients gravement malades", Canadian Journal of Anesthesia, 2012, pp.59(11), 1032~1039[DOI]
- Lee JK, "Changes of first pass success rate of glidescope video laryngoscope and direct laryngoscope according to frequency of use : a ten-year period observational study in two academic emergency departments", master's, pp.2016
- 김정언, "외상 환자에서 Glidescope 비디오후두경을 이용한 응급기도관리", 대한응급의학회지, 21(5), pp.575~580 (2010), 대한응급의학회
- Frerk C, "Difficult airway Society 2015 guidelines for management of unanticipated difficult intubation in adults", Br J Anaesth, 115(6), pp.827~848 (2015)[DOI]
- T. Piepho, "S1-Leitlinie Atemwegsmanagement", Der Anaesthesist, 64(S1), pp.27~40 (2015), Springer Science and Business Media LLC[DOI]
- Calvin A. Brown, "Techniques, Success, and Adverse Events of Emergency Department Adult Intubations", Annals of Emergency Medicine, 65(4), pp.363~370.e1 (2015), Elsevier BV[DOI]
- Jordan PW, "John Brooke, Usability evaluation in industry", pp.189~194 (1996), Taylor and Francis
- 심규식, "1급 응급구조사의 비디오후두경 기관삽관과 직접후두경 기관삽관의 신속성 및 정확도 비교", 한국응급구조학회지, 14(1), pp.5~18 (2010), 사단법인 한국응급구조학회
- Jiyoung Lee, "Comparison of the Pentax AirwayScope and McGrath MAC videolaryngoscope for endotracheal intubation in patients with a normal airway", Medicine, 96(46), pp.e8713~ (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
- B. H. Tan, "Ease of intubation with the GlideScope or Airway Scope by novice operators in simulated easy and difficult airways - a manikin study", Anaesthesia, 64(2), pp.187~190 (2009), Wiley[DOI]
- D. Low, "The use of the BERCI DCI® Video Laryngoscope for teaching novices direct laryngoscopy and tracheal intubation*", Anaesthesia, 63(2), pp.195~201 (2008), Wiley[DOI]
- Yung-Cheng Su, "Comparison of video laryngoscopes with direct laryngoscopy for tracheal intubation", European Journal of Anaesthesiology, 28(11), pp.788~795 (2011), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 추헌진, "비디오 후두경을 이용한 기관내 삽관의 교육 적합성", Korean Journal of Medical Education, 27(4), pp.267~274 (2015), 한국의학교육학회[DOI]
- 시종원, "정상 기도와 시뮬레이션된 어려운 기도 시나리오에서 매킨토시 후두경과 GlideScopeⓇ 비디오 후두경의 비교 - 마네킹 연구", 대한응급의학회지, 20(6), pp.604~608 (2009), 대한응급의학회
- F. J. Benjamin, "An evaluation of the GlideScope®, a new video laryngoscope for difficult airways", European Journal of Anaesthesiology, 23(6), pp.517~521 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Burdett E, "Randomized controlled trial of the A.P. Advance, McGrath, and Macintosh laryngoscopes in normal and difficult intubation scenarios: a manikin study", Br J Anaesth, 107(6), pp.983~988 (2011)[DOI]